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SIGNED, SEALED AND DATED this (0 day of 6c71 �-�i <br />,VOI Lwa,1- rc qcJ-ec' lit,. :. <br />Operator c/ i (SEAQ.) <br />By: <br />O -`j <br />Title: <br />NOTA I}IZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF C1 1 Uac <br />COUNTY OF M`�J�� <br />ss.: <br />Of\ <br />The foregoin instrument was acknowle ged before me this S1 / day of <br />��� <br />by �(� 65 as \Ar4� �� l� ll of <br />FLINT DILLON <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID # 20094040984 <br />MY COMMISSION EXPIRES DECEMBER 21, 2017 <br />Notary Public , <br />My Commission Expires <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: <br />Division Director <br />- 13 - <br />Date Executed: <br />?r , `� 15, <br />e <br />Rev. 05/12 <br />